Provider Demographics
NPI:1346939907
Name:GARG, DIPIKA (DMD)
Entity type:Individual
Prefix:
First Name:DIPIKA
Middle Name:
Last Name:GARG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11749 W LONE MOUNTAIN PKWY UNIT 100
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-6801
Mailing Address - Country:US
Mailing Address - Phone:623-323-2320
Mailing Address - Fax:
Practice Address - Street 1:11749 W LONE MOUNTAIN PKWY UNIT 100
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-6801
Practice Address - Country:US
Practice Address - Phone:623-323-2320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD012423122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist